| 3-D radiotherapy plan dose-volume histograms (77295) |
$2,434.66 |
$2,864.30 |
1.9× |
| Abdomen 2 views (74019) |
$213.29 |
$250.93 |
2.3× |
| Acute gastrointestinal blood loss imaging (78278) |
$952.15 |
$1,120.18 |
2.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) |
$5,007.68 |
$5,891.39 |
1.8× |
| Angiography extremity bilateral rs&i (75716) |
$5,007.68 |
$5,891.39 |
1.8× |
| Angiography extremity unilateral rs&i (75710) |
$5,007.68 |
$5,891.39 |
1.8× |
| Angiography internal mammary rs&i (75756) |
$4,519.69 |
$5,317.28 |
1.6× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$8,296.84 |
$9,760.99 |
1.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$5,007.68 |
$5,891.39 |
1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,007.68 |
$5,891.39 |
1.8× |
| Angiography Spinal Selective Rs&I (75705) |
$8,296.84 |
$9,760.99 |
1.7× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$4,539.04 |
$5,340.05 |
0.9× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$1,343.91 |
$1,581.07 |
0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$5,130.96 |
$6,036.42 |
1.8× |
| Ankle 2 views (73600) |
$173.21 |
$203.78 |
2.2× |
| Antegrade urography radiological supvj & interpj (74425) |
$723.40 |
$851.06 |
2.3× |
| Aortogram thoracic (75605) |
$8,296.84 |
$9,760.99 |
1.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,328.99 |
$6,269.40 |
1.9× |
| Aortography abdominal serialography rs&i (75625) |
$4,539.04 |
$5,340.05 |
1.6× |
| Aortography thoracic w/o serialography rs&i (75600) |
$4,539.04 |
$5,340.05 |
1.6× |
| Artery X-Rays Adrenal Gland (75731) |
$4,539.04 |
$5,340.05 |
1.6× |
| Arthrogram elbow (73085) |
$734.57 |
$864.20 |
2.3× |
| Arthrogram hip (73525) |
$789.36 |
$928.66 |
2.5× |
| Arthrogram shoulder (73040) |
$731.54 |
$860.63 |
2.3× |
| Arthrogram wrist (73115) |
$731.54 |
$860.63 |
2.3× |
| Arthrography knee lt (73580) |
$731.54 |
$860.63 |
2.3× |
| Basic radiation dosimetry calculation (77300) |
$234.64 |
$276.05 |
1.9× |
| Bone &/Joint Imaging Limited Area (78300) |
$670.13 |
$788.39 |
1.9× |
| Bone &/joint imaging whole body (78306) |
$1,517.41 |
$1,785.19 |
4.2× |
| Bone age studies (77072) |
$213.29 |
$250.93 |
2.3× |
| Bone Imaging 3 Phase (78315) |
$1,517.41 |
$1,785.19 |
4.2× |
| Bone survey complete (77075) |
$530.14 |
$623.69 |
5.6× |
| Brain imaging < 4 static views w vascular flow (78601) |
$1,383.15 |
$1,627.24 |
3.8× |
| Cervical spine 2 or 3 views (72040) |
$254.13 |
$298.98 |
3.2× |
| Chest 1 view (71045) |
$118.11 |
$138.95 |
1.5× |
| Chest 3 views (71047) |
$118.11 |
$138.95 |
1.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$355.68 |
$418.45 |
2.2× |
| Clavicle complete (73000) |
$207.37 |
$243.97 |
2.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$214.40 |
$252.24 |
2.3× |
| Continuing medical physics consltj pr wk (77336) |
$287.27 |
$337.97 |
2.4× |
| CT abdomen and pelvis without and with contrast (74178) |
$3,067.83 |
$3,609.21 |
9.7× |
| CT abdomen and pelvis without contrast (74176) |
$2,839.52 |
$3,340.61 |
13.2× |
| CT abdomen w contrast (74160) |
$1,902.92 |
$2,238.73 |
12.0× |
| CT abdomen w wo contrast (74170) |
$1,345.29 |
$1,582.69 |
8.5× |
| CT abdomen w/o contrast (74150) |
$1,509.96 |
$1,776.42 |
16.0× |
| CT angio hrt w/3d image (75574) |
$663.71 |
$780.83 |
2.1× |
| CT angiography upper extremity lt (73206) |
$1,149.61 |
$1,352.48 |
7.3× |
| CT c-spine w/o contrast (72125) |
$1,298.55 |
$1,527.71 |
13.8× |
| CT cervical spine w&w/o contrast (72127) |
$639.86 |
$752.78 |
4.0× |
| CT cervical spine with contrast (72126) |
$1,527.22 |
$1,796.73 |
4.8× |
| CT chest w/wo contrast (71270) |
$349.39 |
$411.05 |
2.2× |
| CT chest with contrast (71260) |
$1,431.94 |
$1,684.63 |
9.0× |
| CT colonography w/o cntrst (74261) |
$1,084.04 |
$1,275.34 |
11.5× |
| CT head/brain with contrast (70460) |
$1,352.38 |
$1,591.04 |
8.5× |
| CT head/brain without and with contrast (70470) |
$1,672.85 |
$1,968.06 |
10.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$663.71 |
$780.83 |
2.1× |
| CT heart no contrast quant eval coronry calcium (75571) |
$85 |
$100 |
1.1× |
| CT hrt w/3d image congen (75573) |
$663.71 |
$780.83 |
2.1× |
| CT iac w contrast (70481) |
$1,352.38 |
$1,591.04 |
8.5× |
| CT lower ext w/o (73700) |
$212.04 |
$249.46 |
2.2× |
| CT lower extremity w wo contrast (73702) |
$380.19 |
$447.28 |
2.4× |
| CT lower extremity with contrast (73701) |
$380.19 |
$447.28 |
2.4× |
| CT lumbar spine w & w/o contrast (72133) |
$929.68 |
$1,093.74 |
5.9× |
| CT lumbar spine w/o contrast (72131) |
$223.58 |
$263.03 |
2.4× |
| CT lumbar spine with contrast (72132) |
$1,068.37 |
$1,256.91 |
3.4× |
| CT maxillofacial w contrast (70487) |
$1,555.25 |
$1,829.70 |
9.8× |
| CT maxillofacial w/o contrast (70486) |
$1,416.71 |
$1,666.72 |
15.0× |
| CT maxillofacial w/wo contrast (70488) |
$1,715.60 |
$2,018.35 |
10.8× |
| CT neck soft tissue w contrast (70491) |
$1,541.66 |
$1,813.72 |
9.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$1,782.24 |
$2,096.75 |
11.3× |
| CT orbits w/o contrast (70480) |
$1,418.12 |
$1,668.38 |
15.0× |
| CT pelvis w & w/o contrast (72194) |
$1,722.54 |
$2,026.52 |
10.9× |
| CT pelvis w/o contrast (72192) |
$1,329.54 |
$1,564.17 |
14.1× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$1,705.97 |
$2,007.02 |
10.8× |
| CT soft tissue neck w/o contrast (70490) |
$1,312.99 |
$1,544.69 |
13.9× |
| CT thoracic spine w/contrast (72129) |
$1,466.44 |
$1,725.22 |
9.3× |
| CT thoracic spine w/o contrast (72128) |
$1,237.76 |
$1,456.19 |
13.1× |
| CT thoracic spine w/wo contrast (72130) |
$1,630.75 |
$1,918.53 |
10.3× |
| CT thorax w/o contrast (71250) |
$1,298.55 |
$1,527.71 |
13.8× |
| CT unlisted procedure (76497) |
$114.72 |
$134.96 |
1.5× |
| CT upper extremity w/o & w/contrast material (73202) |
$380.19 |
$447.28 |
2.4× |
| CT upper extremity w/o contrast rt (73200) |
$212.04 |
$249.46 |
2.2× |
| CT upper extremity with contrast (73201) |
$727.21 |
$855.54 |
2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$1,738.62 |
$2,045.44 |
11.0× |
| Cta Abdomen (74175) |
$1,738.62 |
$2,045.44 |
11.0× |
| CTA abdomen pelvis (74174) |
$1,378.91 |
$1,622.25 |
4.4× |
| CTA chest (71275) |
$1,126.40 |
$1,325.18 |
7.1× |
| Cta Head (70496) |
$1,329.49 |
$1,564.11 |
8.4× |
| CTA lwr ext w&w/o contrast (73706) |
$1,149.61 |
$1,352.48 |
7.3× |
| Cta Neck (70498) |
$1,149.61 |
$1,352.48 |
7.3× |
| Cta Pelvis (72191) |
$813.83 |
$957.45 |
5.1× |
| Cystography minimum 3 views rs&i (74430) |
$641.73 |
$754.98 |
2.0× |
| Dxa bone density study 1/> sites axial skel (77080) |
$365.87 |
$430.43 |
3.9× |
| Echoencephalography real time imaging (76506) |
$551.34 |
$648.64 |
5.8× |
| Esophagus (74220) |
$355.68 |
$418.45 |
2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) |
$473.66 |
$557.25 |
5.0× |
| Fluoroscopy up to 1 hr (76000) |
$437.09 |
$514.22 |
2.0× |
| Foot 2 views (73620) |
$162.53 |
$191.21 |
2.1× |
| Forearm 2 views (73090) |
$207.37 |
$243.97 |
2.6× |
| Gated Heart Planar Single (78472) |
$1,161.33 |
$1,366.27 |
3.2× |
| Hand 2 views (73120) |
$213.29 |
$250.93 |
2.3× |
| Hand 3 views (73130) |
$207.37 |
$243.97 |
2.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$5,007.68 |
$5,891.39 |
1.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$863.57 |
$1,015.96 |
1.8× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$670.13 |
$788.39 |
1.9× |
| Ht muscle image spect sing (78451) |
$2,330.62 |
$2,741.90 |
2.0× |
| Humerus Min 2 Views Left (73060) |
$207.37 |
$243.97 |
2.6× |
| Hyperthermia ntrstl prb 5/< (77610) |
$985.52 |
$1,159.44 |
2.0× |
| Hysterosalpingogram (74740) |
$769.35 |
$905.12 |
3.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$897.06 |
$1,055.36 |
1.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$897.06 |
$1,055.36 |
1.8× |
| Knee 3 views (73562) |
$207.37 |
$243.97 |
2.6× |
| Liver & spleen imaging static only (78215) |
$1,032.21 |
$1,214.37 |
2.9× |
| Liver imaging w/vascular flow (78202) |
$2,330.62 |
$2,741.90 |
4.8× |
| Lung perf&ventilat diferentl (78598) |
$1,091.98 |
$1,284.68 |
2.2× |
| Lung perfusion differential (78597) |
$670.13 |
$788.39 |
1.9× |
| Lung Ventilation Imaging (78579) |
$670.13 |
$788.39 |
1.9× |
| Lymphoscintigraphy (78195) |
$941.77 |
$1,107.96 |
1.9× |
| Mammary ductogram or galactogram multiple (77054) |
$437.67 |
$514.91 |
2.0× |
| Mammary ductogram or galactogram single (77053) |
$437.67 |
$514.91 |
2.0× |
| Meckels Diverticulum (78290) |
$902.38 |
$1,061.62 |
2.5× |
| Medical physics dose eval radiation expos w/rprt (76145) |
$248.23 |
$292.04 |
0.7× |
| Mlc imrt design & construction per imrt plan (77338) |
$610.10 |
$717.76 |
1.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$50.14 |
$58.99 |
1.9× |
| MRA head w/o contrast (70544) |
$1,291.69 |
$1,519.63 |
6.0× |
| MRA neck w contrast (70548) |
$1,455.28 |
$1,712.09 |
4.6× |
| Mra Neck W/O &W/Contrast Material (70549) |
$727.21 |
$855.54 |
2.3× |
| MRA neck w/o contrast (70547) |
$1,291.69 |
$1,519.63 |
6.0× |
| MRI abdomen w contrast (74182) |
$1,387.85 |
$1,632.76 |
4.4× |
| MRI abdomen w/o & w/contrast material (74183) |
$1,875.66 |
$2,206.66 |
6.0× |
| MRI abdomen w/o contrast (74181) |
$1,473.11 |
$1,733.07 |
6.8× |
| MRI any jnt lwr ext with con lt (73722) |
$1,488.83 |
$1,751.57 |
2.1× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$1,649.06 |
$1,940.07 |
2.3× |
| MRI breast w/o contrast bilateral (77047) |
$434.51 |
$511.19 |
2.0× |
| MRI breast w/o contrast unilat (77046) |
$450.31 |
$529.78 |
2.1× |
| MRI c-spine with contrast (72142) |
$1,654.44 |
$1,946.40 |
5.3× |
| MRI cervical spine w/o contrast (72141) |
$1,819.83 |
$2,140.98 |
8.4× |
| MRI chest w/o & w/contrast material (71552) |
$1,875.66 |
$2,206.66 |
6.0× |
| MRI chest w/o contrast (71550) |
$1,497.25 |
$1,761.47 |
7.0× |
| MRI chest with contrast (71551) |
$1,488.83 |
$1,751.57 |
2.1× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,455.28 |
$1,712.09 |
4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$1,488.83 |
$1,751.57 |
4.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$1,905.42 |
$2,241.67 |
8.8× |
| MRI orbit face &/neck w/o contrast (70540) |
$1,473.11 |
$1,733.07 |
6.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$1,875.66 |
$2,206.66 |
6.0× |
| MRI orbit/face/neck w/contrast (70542) |
$1,603.70 |
$1,886.71 |
5.1× |
| MRI pelvis w contrast (72196) |
$1,455.28 |
$1,712.09 |
4.6× |
| MRI pelvis w/o & w/contrast material (72197) |
$2,090.27 |
$2,459.14 |
6.6× |
| MRI pelvis w/o contrast (72195) |
$1,473.11 |
$1,733.07 |
6.8× |
| MRI scan of arm joint before and after contrast (73223) |
$2,730 |
$3,211.76 |
8.7× |
| MRI scan of leg joint before and after contrast (73723) |
$1,585.35 |
$1,865.12 |
5.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,090.27 |
$2,459.14 |
6.6× |
| MRI spinal canal lumbar w/contrast material (72149) |
$1,603.70 |
$1,886.71 |
5.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,090.27 |
$2,459.14 |
6.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$1,603.70 |
$1,886.71 |
5.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$1,875.66 |
$2,206.66 |
6.0× |
| MRI thoracic spine w/o contrast (72146) |
$1,473.11 |
$1,733.07 |
6.8× |
| MRI tmj (70336) |
$1,522.36 |
$1,791.01 |
7.1× |
| MRI upper ext joint w/o contrast (73221) |
$1,473.11 |
$1,733.07 |
6.8× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,875.66 |
$2,206.66 |
6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,503.40 |
$1,768.71 |
7.0× |
| Myocardial infarct spect (78469) |
$2,180.66 |
$2,565.48 |
4.4× |
| Myocardial Spect Multiple Studies (78452) |
$2,330.62 |
$2,741.90 |
2.0× |
| Neck soft tissue (70360) |
$207.37 |
$243.97 |
2.6× |
| Nm gastric emptying study (78264) |
$1,292.27 |
$1,520.32 |
3.6× |
| Ntsty modul radthx pln dose-vol histos (77301) |
$2,489.81 |
$2,929.19 |
2.0× |
| Nuclear medicine of heart pumping function (78473) |
$1,621.99 |
$1,908.22 |
4.5× |
| Nuclear Rx Oral Admin (79005) |
$1,890.20 |
$2,223.76 |
9.0× |
| Osseous survey infant (77076) |
$300.40 |
$353.41 |
3.2× |
| Parathyroid imaging (78070) |
$1,263.78 |
$1,486.80 |
3.5× |
| Pelvis 1 or 2 views (72170) |
$107.31 |
$126.25 |
1.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$1,563.05 |
$1,838.88 |
5.0× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$670.13 |
$788.39 |
1.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$863.57 |
$1,015.96 |
1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$477.33 |
$561.57 |
1.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$213.29 |
$250.93 |
2.3× |
| Radex hips bilateral with pelvis 2 views (73521) |
$213.29 |
$250.93 |
2.3× |
| Radex mastoids compl minimum 3 views pr side (70130) |
$229.16 |
$269.60 |
2.4× |
| Radiation treatment delivery 1 mev >= complex (77412) |
$425.53 |
$500.62 |
0.9× |
| Radiation treatment delivery 1 mev >= simple (77402) |
$221.79 |
$260.93 |
2.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) |
$425.53 |
$500.62 |
1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$213.29 |
$250.93 |
2.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$180.31 |
$212.13 |
2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$300.40 |
$353.41 |
3.2× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$207.37 |
$243.97 |
2.6× |
| Radiologic exam colon single contrast study (74270) |
$465.38 |
$547.51 |
2.9× |
| Radiologic exam upr gi trc double contrast study (74246) |
$382.47 |
$449.96 |
2.4× |
| Radiologic exam upr gi trc single contrast study (74240) |
$380.19 |
$447.28 |
2.4× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$118.11 |
$138.95 |
1.5× |
| Radiological examination surgical specimen (76098) |
$970.80 |
$1,142.12 |
2.0× |
| Review by radiologist of adrenal gland vein image (75840) |
$5,007.68 |
$5,891.39 |
1.8× |
| Ribs bilateral 3 views (71110) |
$213.29 |
$250.93 |
2.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$2,330.62 |
$2,741.90 |
4.8× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$858.47 |
$1,009.97 |
1.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$2,673.06 |
$3,144.78 |
2.3× |
| Rp Therapy Intravenous Administration (79101) |
$1,795.48 |
$2,112.33 |
8.5× |
| Scanogram (77073) |
$245.31 |
$288.60 |
2.6× |
| Scapula complete (73010) |
$207.37 |
$243.97 |
2.2× |
| Screening digital breast tomosynthesis (77063) |
$46.49 |
$54.69 |
2.0× |
| Sella turcica (70240) |
$180.31 |
$212.13 |
2.3× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$378.70 |
$445.53 |
4.0× |
| Sialogram (70390) |
$477.33 |
$561.57 |
2.2× |
| Simulation intermediate (77285) |
$716.32 |
$842.73 |
2.1× |
| Small bowel series (74250) |
$355.68 |
$418.45 |
2.2× |
| Spec medical radj physics consltj (77370) |
$312.75 |
$367.94 |
2.6× |
| Spec telethx port pln parts hemibdy tot bdy (77321) |
$610.10 |
$717.76 |
1.8× |
| Special dosimetry (77331) |
$234.64 |
$276.05 |
1.9× |
| Special treatment procedure (77470) |
$1,118.15 |
$1,315.47 |
2.2× |
| Spine thoracic 3 views (72072) |
$252.79 |
$297.40 |
2.7× |
| Stereotactic body radiation delivery (77373) |
$3,354.80 |
$3,946.82 |
2.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) |
$610.10 |
$717.76 |
1.8× |
| Testicular Imaging With Vascular Flow (78761) |
$888.62 |
$1,045.44 |
2.5× |
| Ther rad simulaj-aided field setting complex (77290) |
$731.09 |
$860.10 |
2.2× |
| Ther rad simulaj-aided field setting simple (77280) |
$433.81 |
$510.36 |
3.6× |
| Thyroid carcinoma metastases img whole body (78018) |
$1,669.83 |
$1,964.50 |
3.4× |
| Thyroid Imaging With Vascular Flow (78013) |
$670.13 |
$788.39 |
1.9× |
| Thyroid uptake measurement (78012) |
$670.13 |
$788.39 |
1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$670.13 |
$788.39 |
1.9× |
| Treatment device intermediate (77333) |
$537.84 |
$632.75 |
4.4× |
| Treatment devices simple (77332) |
$532.81 |
$626.84 |
4.4× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$2,737.20 |
$3,220.23 |
5.6× |
| Tx devices design & construction complex (77334) |
$610.10 |
$717.76 |
1.8× |
| Ultrasound elastography first target lesion (76982) |
$213.25 |
$250.88 |
2.3× |
| Ultrasound, abdomen limited (76705) |
$366.17 |
$430.79 |
3.9× |
| Unlisted Diagnostic Radiographic Procedure (76499) |
$176.53 |
$207.68 |
2.2× |
| Unlisted Ultrasound Procedure (76999) |
$174.96 |
$205.84 |
2.2× |
| Upper Extremity Infant (73092) |
$213.29 |
$250.93 |
2.3× |
| Urethrocystography retrograde rs&i (74450) |
$641.73 |
$754.98 |
3.0× |
| Urethrocystography voiding (74455) |
$641.73 |
$754.98 |
3.0× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$641.73 |
$754.98 |
4.1× |
| Us abdl aorta screen aaa (76706) |
$206.70 |
$243.18 |
2.2× |
| Us breast unilateral complete (76641) |
$213.29 |
$250.93 |
2.3× |
| Us breast unilateral limited (76642) |
$173.71 |
$204.36 |
2.2× |
| Us chest (76604) |
$583.30 |
$686.24 |
6.2× |
| Us compl joint r-t w/image documentation (76881) |
$209.22 |
$246.14 |
2.2× |
| Us elastography parenchyma (76981) |
$213.29 |
$250.93 |
2.3× |
| Us guided compression repair (76936) |
$823.47 |
$968.79 |
4.2× |
| Us infant hips dynamic (76885) |
$371.22 |
$436.73 |
4.7× |
| Us infant hips limited static (76886) |
$149.34 |
$175.69 |
1.9× |
| Us ob transvaginal (76817) |
$366.17 |
$430.79 |
3.9× |
| Us pelvic non ob complete (76856) |
$634.05 |
$745.94 |
6.7× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$304.95 |
$358.76 |
3.2× |
| Us pregnancy ltd (76815) |
$235.63 |
$277.21 |
2.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$277.13 |
$326.03 |
2.9× |
| Us retroperitoneal complete (76770) |
$212.04 |
$249.46 |
2.2× |
| Us retroperitoneal limited (76775) |
$634.05 |
$745.94 |
6.7× |
| Us scrotum and contents (76870) |
$487.69 |
$573.75 |
5.2× |
| Us soft tissue head/neck (76536) |
$634.05 |
$745.94 |
6.7× |
| Us spinal canal and contents (76800) |
$213.29 |
$250.93 |
2.3× |
| Us xtr non-vasc lmtd (76882) |
$213.29 |
$250.93 |
2.3× |
| Venogram extremity bilateral (75822) |
$2,073.26 |
$2,439.13 |
1.5× |
| Venography caval inferior serialography rs&i (75825) |
$5,007.68 |
$5,891.39 |
1.8× |
| Venography caval superior serialography rs&i (75827) |
$1,982.49 |
$2,332.34 |
1.4× |
| Venography extremity unilateral rs&i (75820) |
$1,622.57 |
$1,908.91 |
1.1× |
| Venography Renal Bilateral (75833) |
$5,007.68 |
$5,891.39 |
1.8× |
| Venography renal unilateral selective rs&i (75831) |
$4,539.04 |
$5,340.05 |
1.6× |
| Venography venous sinus/jugular cath rs&i (75860) |
$5,751.52 |
$6,766.49 |
2.0× |
| Venous sampling thru cath w/wo angiography rs& (75893) |
$8,296.84 |
$9,760.99 |
1.7× |
| Wrist 2 views (73100) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$212.04 |
$249.46 |
2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$625.70 |
$736.12 |
4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$207.37 |
$243.97 |
2.6× |
| X-ray exam hip uni 1 view (73501) |
$118.11 |
$138.95 |
1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$118.11 |
$138.95 |
1.5× |
| X-ray exam hip uni 4/> views (73503) |
$213.29 |
$250.93 |
2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$213.29 |
$250.93 |
2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$365.88 |
$430.45 |
3.9× |
| X-ray exam of femur 1 (73551) |
$118.11 |
$138.95 |
1.5× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) |
$245.31 |
$288.60 |
2.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$207.37 |
$243.97 |
2.6× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$3,298.14 |
$3,880.17 |
1.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$224.50 |
$264.12 |
2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$243.81 |
$286.84 |
3.1× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$191.84 |
$225.69 |
2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$349.98 |
$411.74 |
3.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$388.69 |
$457.28 |
4.1× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$365.87 |
$430.43 |
4.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$245.31 |
$288.60 |
2.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$107.31 |
$126.25 |
1.1× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$641.73 |
$754.98 |
2.0× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$111.92 |
$131.67 |
1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$179.15 |
$210.77 |
1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$318.14 |
$374.28 |
3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$207.37 |
$243.97 |
2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$340.92 |
$401.08 |
4.3× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$147.47 |
$173.49 |
1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$327.51 |
$385.30 |
3.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$256.26 |
$301.48 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$180.31 |
$212.13 |
2.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$173.21 |
$203.78 |
2.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$212.04 |
$249.46 |
2.2× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$207.37 |
$243.97 |
2.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$207.37 |
$243.97 |
2.6× |
| Xr arthrogram ankle (73615) |
$731.54 |
$860.63 |
2.3× |
| Xr c-spine 6 or more views (72052) |
$304.95 |
$358.76 |
3.2× |
| Xr chest 4+ views (71048) |
$252.79 |
$297.40 |
2.7× |
| Xr finger(s) 2+ views (73140) |
$173.21 |
$203.78 |
2.2× |
| Xr optic foramina (70190) |
$213.30 |
$250.94 |
2.7× |
| Xr shoulder 1 view (73020) |
$176.53 |
$207.68 |
2.2× |
| Xr spine cervical 4 or 5 views (72050) |
$300.40 |
$353.41 |
3.2× |
| Xr tibia/fibula 2 views (73590) |
$207.37 |
$243.97 |
2.6× |
| Xr tmj bilateral (70330) |
$213.30 |
$250.94 |
2.7× |
| Xray knee 1 or 2 views rt (73560) |
$180.31 |
$212.13 |
2.3× |